Diabetes in Pregnancy Author: Elisha L. Brownfield, MD
Editorial changes - 2012-04-19
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Consultation for Diagnosis
  • Consult appropriate subspecialists for help in defining the status of diabetic complications before conception.
  • Consider consultation with an endocrinologist for help in classifying gestational diabetes.

Consult appropriate subspecialists for help in defining the status of diabetic complications before conception. BC

  • Refer women with pregestational diabetes to an ophthalmologist for dilated retinal exam before conception, or at least early in pregnancy.
  • Consider referral of women with pregestational diabetes and proteinuria to a nephrologist if proteinuria is noted before conception or early in pregnancy.
  • Consider referring to a cardiologist for the diagnosis of coronary artery disease those women with pregestational diabetes who:
    • Are older than 45 years
    • Have had diabetes for >25 years
    • Show ST-T wave changes on ECG
    • Have symptoms of coronary artery disease
  • Consider referral of women with pregestational diabetes and signs or symptoms of neuropathy to a neurologist before pregnancy.
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Consider consultation with an endocrinologist for help in classifying gestational diabetes. C

  • Consider consultation with an endocrinologist or high-risk obstetrician to further classify gestational diabetes as type 1, type 2, or transient diabetes of pregnancy.
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FAQs
Elisha L. Brownfield, MD has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations. Justin B. Moore, MD, editorial consultant, has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.
Deborah Korenstein, MD, FACP, Co-Editor, PIER, has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations. Richard B. Lynn, MD, FACP, Co-Editor, PIER, has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.

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